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Mutation analysis for the detection of long QT-syndrome (LQTS) associated SNPs

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Abstract

Congenital long QT-syndrome (LQTS) is an inherited cardiac arrhythmia, which is characterized by a prolonged QT interval which predisposes to sudden cardiac death due to ventricular arrhythmias. The altered functions are based on different mutations in LQTS-associated genes. In this study, we performed a mutation analysis for the detection of 125 LQTS-associated single nucleotide polymorphisms (SNPs) focused on the genes KCNQ1, KCNH2, and SCN5A by using the SNaPshot multiplex minisequencing technique. Furthermore, we investigated 152 autopsy-negative cases from younger adults and infants, as well as samples from patients with clinically suspicion for LQTS, in which we found two types of variations.

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References

  1. Campuzano O, Sarquella-Brugada G, Brugada R, Brugada J (2015) Genetics of channelopathies with cardiac death. Glob Cardiol Sci Pract 3:39. doi:10.5339/gcsp.2015.39 eCollection 2015

    Article  Google Scholar 

  2. Kauferstein S, Kiehne N, Neumann T, Pitschner H-F, Bratzke H (2009) Cardiac gene defects can cause sudden cardiac death in young people. Dtsch Arztebl Int 106(4):41–47

    PubMed  PubMed Central  Google Scholar 

  3. Campuzano O, Sarquella-Brugada G, Mademont-Soler I, Allegue C, Cesar S, Ferrer-Costa C, Coll M, Mates J, Iglesias A, Brugada J, Brugada R (2014) Identification of genetic alterations, as causative genetic defects in long QT syndrome, using next generation sequencing technology. PLoS One 9(12):e114894. doi:10.1371/journal.pone.0114894

    Article  PubMed  PubMed Central  Google Scholar 

  4. Zumhagen S, Stallmeyer B, Friedrich C, Eckardt L, Seebohm G, Schulze-Bahr E (2012) Inherited long QT syndrome: clinical manifestation, genetic diagnostics, and therapy. Herzschrittmacherther Elektrophysiol 23(3):211–219

    Article  PubMed  Google Scholar 

  5. Schwartz PJ, Ackerman MJ, George AL, Wilde AAM (2013) Impact of genetics on the clinical management of channelopathies. JAAC 62(3):169–180

    CAS  Google Scholar 

  6. Vincent GM, Thimothy KW, Leppert M, Keating M (1992) The spectrum of symptoms and QT intervalls in carriers of the gene for the long-QT syndrome. N Engl J Med 327:846–852

    Article  CAS  PubMed  Google Scholar 

  7. Moss AJ, Zareba W, Benhorin J, Locati EH, Hall WJ, Robinson JL, Schwartz PJ, Towbin JA, Vincent GM, Lehmann MH (1995) Electrocardiographic T-wave patterns in genetically distinct forms of the hereditary long QT syndrome. Circulation 92:2929–2934

    Article  CAS  PubMed  Google Scholar 

  8. Schulze-Bahr E, Eckardt L, Breithardt G, Seidl K, Wichter T, Wolpert C, Borggrefe M, Haverkamp W (2003) Sodium channel gene (SCN5A) mutations in 44 index patients with Brugada syndrome: different incidences in familial and sporadic disease. Hum Mutat 21:651–660

    Article  PubMed  Google Scholar 

  9. Kääb S, Schulze-Bahr E (2005) Susceptibility genes and modifiers for cardiac arrhythmias. Cardiovasc Res 67:397–413

    Article  PubMed  Google Scholar 

  10. Schwartz PJ, Crotti L, Insolia R (2012) Long-QT syndrome: from genetics to management. Circ Arrhythm Electrophysiol 5(4):868–877

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kauferstein S, Kiehne N, Peigneur S, Tytgat J, Bratzke H (2013) Cardiac channelopathy causing sudden death as revealed by molecular autopsy. Int J Legal Med 127:145–151

    Article  PubMed  Google Scholar 

  12. Campuzano O, Allegue C, Partemi S, Iglesias A, Oliva A, Brugada R (2014) Negative autopsy and sudden cardiac death. J Legal Med 128:599–606

    Article  Google Scholar 

  13. Stattin E-L, Westin IM, Cederquist K, Jonasson J, Jonsson B-A, Mörner S, Norberg A, Krantz P, Wisten A (2016) Genetic screening in sudden cardiac death in the young can save future lives. Int J Legal Med 130:59–66

    Article  PubMed  Google Scholar 

  14. Edelmann J, Schumann S, Nastainczyk M, Husser-Bollmann D, Lessig R (2012) Long QT syndrome mutation detection by SNaPshot technique. Int J Legal Med 126(6):969–973

    Article  PubMed  Google Scholar 

  15. Tzimas I, Bajanowski T, Poetsch M (2016) The role of hereditary KCNQ1 mutations in water-related death. Int J Legal Med 130(2):361–363

    Article  PubMed  Google Scholar 

  16. Priori SG, Schwartz PJ, Napolitano C, Bloise R, Ronchetti E, Grillo M, Vicentini A, Spazzolini C, Nastoli J, Bottelli G, Folli R, Cappelletti D (2003) Risk stratification in the long-QT syndrome. New Engl J Med 348:1866–1874

    Article  PubMed  Google Scholar 

  17. Westenskow P, Splawski I, Timothy KW, Keating MT, Sanguinetti MC (2004) Compound mutations: a common cause of severe long-QT syndrome. Circulation 109:1834–1841

    Article  PubMed  Google Scholar 

  18. Izumi G, Hayama E, Yamazawa H, Inai K, Shimada M, Furutani M, Nishizawa T, Furutani Y, Matsuoka R, Nakanishi T (2016) Compound mutations cause increased cardiac events in children with long QT syndrome: can the sequence homology-based tools be applied for prediction of phenotypic severity? Pediatr Cardiol. doi:10.1007/s00246-016-1378-7

    PubMed  Google Scholar 

  19. Allegue C, Gil R, Sanchez-Diz P, Torres M, Quintela I, Carracedo A, Brión M (2010) A new approach to long QT syndrome mutation detection by Sequenom Mass ARRAY system. Electrophoresis 31(10):1648–1655

    Article  CAS  PubMed  Google Scholar 

  20. Aydin A, Bähring S, Dahm S, Guenther UP, Uhlmann R, Busjahn A, Luft FC (2005) Single nucleotide polymorphism map of five long-QT genes. J Mol Med (Berl) 83(2):159–165

    Article  CAS  Google Scholar 

  21. Mank-Seymour AR, Richmond JL, Wood LS, Reynolds JM, Fan YT, Warnes GR, Milos PM, Thompson JF (2006) Association of torsades de pointes with novel and known single nucleotide polymorphisms in long QT syndrome genes. Am Heart J 152(6):1116–1122

    Article  CAS  PubMed  Google Scholar 

  22. Zhang X, Chen S, Zhang L, Liu M, Redfearn S, Bryant RM, Oberti C, Vincent GM, Wang QK (2008) Protective effect of KCNH2 single nucleotide polymorphism K897T in LQTS families and identification of novel KCNQ1 and KCNH2 mutations. BMC Med Genet 9:87

    Article  PubMed  PubMed Central  Google Scholar 

  23. Marjamaa A, Newton-Cheh C, Porthan K, Reunanen A, Lahermo P, Väänänen H, Jula A, Karanko H, Swan H, Toivonen L, Nieminen MS, Viitasalo M, Peltonen L, Oikarinen L, Palotie A, Kontula K, Salomaa V (2009) Common candidate gene variants are associated with QT interval duration in the general population. J Intern Med 265(4):448–458

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Sinner MF, Pfeufer A, Akyol M, Beckmann BM, Hinterseer M, Wacker A, Perz S, Sauter W, Illig T, Näbauer M, Schmitt C, Wichmann HE, Schömig A, Steinbeck G, Meitinger T, Kääb S (2008) The non-synonymous coding IKr-channel variant KCNH2-K897T is associated with atrial fibrillation: results from a systematic candidate gene-based analysis of KCNH2 (HERG. Eur Heart J 29(7):907–914

    Article  CAS  PubMed  Google Scholar 

  25. Gouas L, Nicaud V, Berthet M, Forhan A, Tiret L, Balkau B, Guicheney P, the D.E.S.I.R. Study Group (2005) Association of KCNQ1, KCNE1, KCNH2 and SCN5A polymorphisms with QTc interval length in a healthy population. Eur J of Hum Genet 13:1213–1222

    Article  CAS  Google Scholar 

  26. Pietilä E, Fodstad H, Niskasaari E, Laitinen PPJ, Swan H, Savolainen M, Kesäniemi YA, Kontula K, Huikuri HV (2002) Association between HERG K897T polymorphism and QT interval in middle-aged Finnish women. J Am Coll Cardiol 40(3):511–514

    Article  PubMed  Google Scholar 

  27. Paavonen KJ, Chapman H, Laitinen PJ, Fodstad H, Piippo K, Swan H, Toivonen L, Viitasalo M, Kontula K, Pasternack M (2003) Functional characterization of the common amino acid 897 polymorphism of the cardiac potassium channel KCNH2 (HERG. Cardiovasc Res 59(3):603–611

    Article  CAS  PubMed  Google Scholar 

  28. Anson BD, Ackerman MJ, Tester DJ, Will ML, Delisle BP, Anderson CL, January CT (2004) Molecular and functional characterization of common polymorphisms in HERG (KCNH2) potassium channels. Am J Physiol Heart Circ Physiol 286(6):H2434–H2441

    Article  CAS  PubMed  Google Scholar 

  29. Crotti L, Lundquist AL, Insolia R, Pedrazzini M, Ferrandi C, De Ferrari GM, Vicentini A, Yang P, Roden DM, George AL Jr, Schwartz PJ (2005) KCNH2-K897T is a genetic modifier of latent congenital long-QT syndrome. Circulation 112(9):1251–1258

    Article  PubMed  Google Scholar 

  30. Nof E, Cordeiro JM, Pérez GJ, Scornik FS, Calloe K, Love B, Burashnikov E, Caceres G, Gunsburg M, Antzelevitch C (2010) A common single nucleotide polymorphism can exacerbate long-QT type 2 syndrome leading to sudden infant death. Circ Cardiovasc Genet 3(2):199–206

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Millat G, Chanavat V, Rousson R (2014) Evaluation of a new NGS method based on a custom AmpliSeq library and ion torrent PGM sequencing for the fast detection of genetic variations in cardiomyopathies. Clin Chim Acta 433:266–271

    Article  CAS  PubMed  Google Scholar 

  32. Raffan E, Semple K (2011) Next generation sequencing-implications for clinical practice. Br Med Bull 99:53–71

    Article  CAS  PubMed  Google Scholar 

  33. Ware JS, John S, Roberts AM, Buchan R, Gong S, Peters NS, Robinson DO, Lucassen A, Behr ER, Cook SA (2013) Next generation diagnostics in inherited arrhythmia syndromes: a comparison of two approaches. J Cardiovasc Transl Res 6(1):94–103

    Article  PubMed  Google Scholar 

  34. Nakano Y, Shimizu W (2016) Genetics of long-QT syndrome. J Hum Genet 61:51–55

    Article  CAS  PubMed  Google Scholar 

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J., E., T., D., M., S. et al. Mutation analysis for the detection of long QT-syndrome (LQTS) associated SNPs. Int J Legal Med 131, 333–338 (2017). https://doi.org/10.1007/s00414-016-1446-9

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  • DOI: https://doi.org/10.1007/s00414-016-1446-9

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